Organization Active NPI

Ridge Care, Inc.

  • Adult Care Home Facility
  • Boone, NC
National Provider Identifier
1104386598
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
RIDGE CARE, INC.
Practice address
287 Bamboo Rd
Boone, NC 28607-8718
Phone
(828) 264-0336
Fax
(828) 264-0338
NPI assigned
Mar 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cynthia Ann Neagle
Title
VP Finance
Phone
(336) 993-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

287 Bamboo Rd
Boone, NC 28607-8718

Mailing address

853 Old Winston Rd Ste 118
Kernersville, NC 27284-8781
Phone (336) 993-7555

Other names 1

  • Deerfield Ridge Assisted Living Other name

National Provider Directory

National Provider Directory
Tax ID family
Deerfield Ridge Assisted Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1104386598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 OLD WINSTON RD STE 118",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848781",
            "telephone_number": "336-993-7555",
            "fax_number": "336-993-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 BAMBOO RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078718",
            "telephone_number": "828-264-0336",
            "fax_number": "828-264-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "NEAGLE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "336-993-7555"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deerfield Ridge Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.